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PODCAST

Psychobabble

Hannah Spier, MD

Psychiatrist analyzing how cultural trends and modern therapy incentivize dysfunction. hannahspier.substack.com

society & culture philosophy

All Episodes

19:02

#63. How to Screen for Borderline Traits

Psychobabble ·

2026/04/05

This isn't about calling women "crazy." It’s about recognizing the strategy behind the "aura" and the patterns of behavior that society often fails to warn men about. As a mother of two sons, I am seeing these dynamics play out more than ever, and it’s time for a clinical and social autopsy of the high-conflict personality.Become a Psychobabble Insider and join us Sunday the 12th of April for a Live Clinical Session on Men’s Fitness with James Nuzzo! This is a public episode. If you'd like to

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20:25

#62. Borderline: The Female Version of Antisocial

Psychobabble ·

2026/03/29

Are we misdiagnosing female predators as "patients"?In this video, I explore a provocative but clinically grounded theory: that Borderline Personality Disorder (BPD) is often the female expression of Antisocial Personality Disorder (ASPD). While we have no trouble identifying the "Language of Force" in the male predator, society often falls for the "Language of the Heart" when it comes to women.Using the viral case of a young woman named Deja, I break down the Strategic Regression and Tactical

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26:26

#61. Challenging the 'ADHD Was Always There' Narrative

Psychobabble ·

2026/03/25

ADHD did not expand by accident.In some U.S. states, nearly 1 in 5 boys have been diagnosed. Adult diagnoses continue to rise. The standard explanation is simple: “It was always there — we’re just recognizing it now.”But genuine medical conditions do not behave this way.In this episode, I trace the historical evolution of ADHD from a rare and severe childhood condition to a lifelong, broadly defined neurodevelopmental diagnosis. We look at the DSM revisions that expanded criteria, the shift from

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22:12

#60. The ADHD Surge Adult Women

Psychobabble ·

2026/03/22

ADHD is officially classified as a neurodevelopmental disorder: a lifelong brain condition said to be present from birth. But despite decades of research, there is still no biomarker, no diagnostic brain scan, and no consistent neurological abnormality that can reliably distinguish an “ADHD brain” from a normal one.In this video, I examine why adult ADHD diagnoses have surged, especially among women, and why the evidence increasingly suggests that what we call adult ADHD maps far more closely onto

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54:34

#59. Girl Rotting, Heterofatalism & “Decentering Men”

Psychobabble ·

2026/03/15

I am joined by ⁠Janice Fiamengo, ⁠Tom Golden, and James Nuzzo to analyze a "folder of awful" containing various feminist buzzwords and social media trends. If you want to go deeper, here is the recording from a live session with Psychobabble Insiders,. These live discussions are where we can slow down, go through the clinical details, and answer questions directly. If you’d like to listen to the recording — and join future live sessions — you can find it here. This is a public episode. If you'd

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23:58

#58. Dissecting the 4 Major Obesity Delusions

Psychobabble ·

2026/03/11

Obesity is increasingly explained through hormones, genetics, metabolism, and microbiomes. These explanations sound compassionate, scientific, and non-judgmental — but they often fail to explain what we actually observe and definitely fail those who want to lose weight.Become a Psychobabble Insider and join us this Saturday the 14th of March at 3 PM Eastern for a Live Clinical Session on psychiatric medication!00:00 The Hard Truth: Obesity Is Psychological01:57 Lie #1: The "Slow Metabolism"

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17:51

Psychiatry Made the Bipolar Child Inevitable

Psychobabble ·

2026/03/08

To question a diagnosis today is to trigger a moral reaction.In contemporary psychiatry, diagnostic categories no longer function merely as clinical tools. They increasingly operate as moral identities, conferring legitimacy, status, and exemption from blame. When criteria are questioned, the response is often not clinical disagreement but moral accusation. Upgrade and join us this Saturday the 14th of March at 3 pm Eastern for the next Live Clinical Case Session on psychiatric medicationsIn this

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16:35

#56. How Borderline Was Rebranded as Bipolar

Psychobabble ·

2026/02/25

I explain how traits once understood as borderline pathology were gradually laundered into bipolar disorder — through expanding criteria, rapid cycling, and the replacement of personality with biology.This isn’t about denying suffering.It’s about why diagnosis matters, how boundaries collapsed, and what it costs.Upgrade and join us this Saturday the 28th of Febuary at 3 pm Eastern for the next Live Clinical Case Session on psychiatric medications: When, How and How to Taper Safely.00:00 – How mania

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29:44

#55. When Dark Traits Drive Paternal Alienation

Psychobabble ·

2026/02/11

Most so-called “high conflict” divorces are not what people think they are.The term suggests two volatile adults locked in mutual chaos. But in a significant subset of cases, what looks like dysregulation is strategic. It is controlled, reputationally aware, and often concealed behind the language of concern, therapy, and child wellbeing.In this episode, I examine how some separations become arenas for status repair and control after narcissistic injury. Drawing on trait-based personality psychology

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19:04

#54. Why Women Get Away With Narcissism (3 Patterns...

Psychobabble ·

2026/01/27

In this video, I walk through three everyday patterns in which narcissistic traits are reframed as vulnerability, self-awareness, or moral superiority and therefore escape recognition altogether. From self-diagnosis culture to parenting ideology, these behaviours are often praised rather than named appropriately.I also make an important distinction between Munchausen by proxy and the narcissistic mother, two dynamics that are frequently conflated, but psychologically and motivationally very

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15:56

#53. AuDHD: When Psychiatry Becomes Customer Service

Psychobabble ·

2026/01/07

Therapists can’t say no to women, psychiatry won’t protect its categories, and TikTok has turned serious disorders into identity accessories.In this video, I walk you through a proper differential diagnosis and show why the behaviours commonly labeled “AuDHD” are not autism, not ADHD, and not neurodevelopmental at all. 0:00 — The rise of AuDHD: diagnostic Frankenstein1:03 — The AuDHD Differential Diagnosis1:29 — Why this isn’t autism3:51 — Masking becomes an unfalsifiable excuse5:40 — Meltdowns,

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19:51

#52 The Survival Guide for Dealing with Cluster B and...

Psychobabble ·

2025/12/24

This episode sits very deliberately at the “how do I deal with this?” level. It’s for people who find themselves repeatedly destabilised in relationships marked by manipulation, emotional volatility, and confusion — and who are tired of being told to simply communicate better, be more empathetic, or search for faults that aren’t actually there.As the year comes to a close, I wanted to write a brief note about Psychobabble. What many of you have responded to most strongly, and how I’m shaping the

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30:01

The Most Unhinged Feminist Comments on Reddit (Game...

Psychobabble ·

2025/12/11

Welcome to the Psychobabble Christmas Special — and to the most dangerous game on the internet: Can You Think Like a Feminist?I brought three of my favorite anti-feminist friends — Janice Fiamengo James L. Nuzzo Tom Golden — and challenged them to guess which Reddit comments from r/TwoXChromosomes were real…and which ones I wrote. Chaos, confusion, despair and an alarming amount of accuracy ensued. 👉 Join the bonus round on Substack by becoming a Psychobabble Insider. That also gets you into this

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49:51

Female Luxury Beliefs with Rob Henderson

Psychobabble ·

2025/11/26

In this episode I speak with Rob Henderson author of Troubled and originator of the concept luxury beliefs: ideas that raise the status of the elites while harming the people with the least margin for error.But today we look at something he’s rarely asked to unpack: the female side of luxury beliefs.00:00 – Introduction & Who Is Rob Henderson?01:13 – What Luxury Beliefs Really Are02:17 – Are There Female Luxury Beliefs?04:08 – COVID Softness & Lowering Standards06:55 – Feminine Teaching Norms and

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30:08

The Rise of the Pathological Female

Psychobabble ·

2025/11/13

A cultural and clinical blind spot: the rise of female-coded Cluster B traits. Why do so many go undiagnosed? Why has misbehavior been rebranded as “trauma”?In this episode I break down how ideology, therapy culture, and social media have distorted our understanding of female pathology and why it matters more than ever.Join me for the Live Q&A this Saturday 1 PM ET—I’ll take your questions. Upgrade to joing the Live and to watch the bonus video below! This is a public episode. If you'd like to

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47:01

Feminism’s Buzzwords: How Women’s Studies Rewrote...

Psychobabble ·

2025/10/31

In this episode, we trace the evolution of Women’s Studies — the ideological factory floor where feminist theory manufactures its ever-expanding vocabulary. From the early days of academic grievance studies to today’s buzzwords like microfeminism, hermeneutic labor, and kin-keeping, we examine how each new term tries to keep the ideology alive in a world that has stopped taking it seriously. What supposedly began as a movement for equality has become a language of perpetual victimhood and we’re

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3:00

Feminist Buzzwords: The Conversation Continues and We...

Psychobabble ·

2025/10/31

This is a free preview of a paid episode. To hear more, visit hannahspier.substack.comIn this bonus segment for Psychobabble Insiders, we continue our decipering of feminist jargon. This time focusing on the “labor” terms that turn everyday acts of love, thought, and care into political grievances. From hermeneutic labor to kin-keeping and emotional labor, we explore how feminism has rebranded connection as exploitation and domestic life…

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36:43

How Therapy Culture Is Destroying Families

Psychobabble ·

2025/10/15

One in four American adults is now estranged from their parents, and most aren’t cutting contact over abuse, but ideology. In this conversation with Noelle Mering author of Awake, Not Woke and the forthcoming No Contact, we discuss why so many young adults are severing ties with family. Upgrade and become a Psychobabble Insider, get full access to more content, bonus material and live sessions today! This is a public episode. If you'd like to discuss this with other subscribers or get access to

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32:30

Wokeism as an Adaptation: Ideology, Intelligence, and...

Psychobabble ·

2025/09/24

In this Psychobabble episode with Edward Dutton, we explore how left-wing narratives manifest in mental health issues, and why wokeism may function as an adaptation to societal decline. Together, we discuss intelligence and IQ, the decline of cognitive ability, and the curious case of “woke eugenics”—a new form of social Darwinism shaping genetic and cultural health. Dutton closes with predictions for the future of the UK and Europe in light of these forces.Edward Dutton is a researcher based in

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34:20

Still Selling Feminism: Our Response to Diary of a CEO

Psychobabble ·

2025/09/10

In this special joint episode of Psychobabble and Men Are Good, Tom Golden, Janice Fiamengo, and I take on The Diary of a CEO’s viral “feminism debate” featuring Louise Perry, Erica Komisar, and Deborah Frances-White.This debate has racked up millions of views across one of the world’s most influential podcast and YouTube platforms. With over 12 million subscribers and more than a billion streams, host Steven Bartlett commands global reach and cultural clout. It was framed as a bold debate on

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